Kronik Boyun Ağrısında Servikal Mobilite, Uyku Kalitesi ve Fonksiyonun Değerlendirilmesi

Year 2025, Volume: 14 Issue: 1, 123 - 131, 28.03.2025

Gamze Demircioğlu , Şüheda Özkan

Abstract

Amaç: Kronik boyun ağrısı (KBA), biyopsikososyal yaklaşım gerektiren yaygın bir sorundur. Bu çalışmanın amacı ağrı, servikal mobilite, uyku kalitesi ve fonksiyonel durum arasındaki ilişkiyi sağlıklı kontrollerle karşılaştırarak incelemektir. Gereç ve Yöntemler: Altmış beş KBA'lı katılımcı ve altmış beş kontrol çalışmaya dahil edildi. Boyun ağrısı istirahatte ve aktivite sırasında Görsel Analog Skala (GAS) kullanılarak ölçüldü. Servikal mobilite, aktif servikal eklem hareket açıklığı (S-EHA) ölçmek için universal bir gonyometre kullanılarak tüm hareket düzlemlerinde değerlendirildi. Uyku kalitesi ve boyun ile ilgili fonksiyonel durumu değerlendirmek için Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Boyun Özürlülük İndeksi (BÖİ) kullanıldı. Bulgular: Servikal mobilitede gruplar arasında, fleksiyon, ekstansiyon ve lateral fleksiyon için S-EHA değerlerinde anlamlı farklar bulundu (p<0.05), ancak rotasyon değerlerinde anlamlı fark saptanmadı (p>0.05). Ayrıca, KBA’lı grupta kontrol grubuna kıyasla daha yüksek dizabilite düzeyleri ve daha kötü uyku kalitesi gözlendi (p<0.001). KBA’lı grupta, fleksiyon, ekstansiyon ve sol lateral fleksiyondaki azalmış S-EHA ile PUKİ skoru arasında zayıf negatif korelasyon bulundu (p<0.05). BÖİ, tüm düzlemlerdeki S-EHA ile anlamlı bir ilişki gösterdi (p<0.05). Bunun yanı sıra, NDI ile PSQI skoru arasında güçlü pozitif bir korelasyon saptandı (r=0.612; p<0.001). Sonuç: KBA olan bireyler, sağlıklı bireylere kıyasla servikal hareketlilik, uyku kalitesi ve fonksiyonel durum bakımından daha fazla kısıtlılık deneyimlerler. Ayrıca, artan boyun sakatlığı ile daha düşük uyku kalitesi arasında önemli bir ilişki olduğu tespit edilmiştir. Uyku bozukluklarının tedavi edilmesi, boyun sakatlığının hafifletilmesine ve genel sağlığın iyileştirilmesine katkı sağlayabilir.

Keywords

Ağrı, Boyun, Eklem Hareket Açıklığı, Uyku Kalitesi, Fonksiyonel Durum

Evaluation of Cervical Mobility, Sleep Quality, and Function in Chronic Neck Pain

Abstract

Objective: Chronic neck pain (CNP) is a common issue requiring a biopsychosocial approach. This study aimed to explore the relationship between pain, cervical mobility, sleep quality, and functional status, comparing these variables with healthy controls. Materials and Methods: Sixty-five participants with CNP and sixty-five controls were included. Neck pain at rest and during activity was measured using the Visual Analog Scale (VAS Cervical mobility was assessed in all planes of motion using a universal goniometer to measure the active cervical range of motion (C-ROM). The Pittsburgh Sleep Quality Index (PSQI) and Neck Disability Index (NDI) were used to evaluate sleep quality and neck-related functional status. Results: Cervical mobility showed significant differences in C-ROM for flexion, extension, and lateral flexion (p<0.05), while no significant differences were found in rotation between groups (p>0.05). Additionally, the CNP group exhibited higher disability levels and poorer sleep quality compared to the controls (p<0.001. In the CNP group reduced C-ROM in flexion, extension, and left lateral flexion showed a weak negative correlation with PSQI score (p<0.05). NDI was significantly associated with C-ROM in all planes (p<0.05). Moreover, NDI exhibited a strong positive correlation with the PSQI score (r=0.612; p<0.001). Conclusion: CNP individuals experience a negative status on cervical mobility, sleep quality, and functional status compared to healthy individuals. A significant relationship was also found between increased neck disability and poorer sleep quality. Treating sleep disturbances may help alleviate neck disability and improve overall health.

Keywords

Pain, Neck, Range of Motion, Sleep Quality, Functional Status.

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